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1255650636
E & M MEDICAL GROUP PA
LAKELAND, FL
NPI
1255650636
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Entity Type
Organization
Authorized Contact
EDWIN J PENA
Owner
863-619-5999
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME90788)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
E & M MEDICAL GROUP PA
4730 EXPLORATION AVE
LAKELAND, FL 33812-3319
Phone number: 863-619-5999
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Mailing Address
E & M MEDICAL GROUP PA
PO BOX 550
HIGHLAND CITY, FL 33846-0550
Phone number: 863-619-5999
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